Harvard Medical School Curriculum Vitae

Transcription

1 Date: October 2009 Harvard Medical School Curriculum Vitae Name: Sunil Eappen, M.D. Office Address: Massachusetts Eye & Ear Infirmary Department of Anesthesiology 243 Charles Street, 712B Boston, MA Phone: Fax: Place of Birth: Chicago, IL Education: B.S. (Mathematics and Computer Science), Phi Beta Kappa, University of Illinois M.D. with Honors, Alpha Omega Alpha, University of Chicago Pritzker School of Medicine Postdoctoral Training: 06/91-07/92 Transitional Medicine Intern, Illinois Masonic 07/92-06/95 Resident in Anesthesiology, Brigham and Women's Licensure and Certification: 1995 Massachusetts Registered Physician 1996 American Board of Anesthesiology Academic Appointments: Clinical Fellow in Anaesthesia, Anaesthesia-Brigham and Women's, Harvard Medical School, Boston, MA Instructor in Anaesthesia, Anaesthesia-Brigham and Women's, Harvard Medical School, Boston, MA Assistant Professor of Anaesthesia, Anaesthesia-Brigham and Women's, Harvard Medical School, Boston, MA

2 or Affiliated Institution Appointments: 10/09 Chairman, Department of Anesthesiology, Massachusetts Eye and Ear Infirmary, Boston, MA 01/95-09/09 Staff Anesthesiologist, Brigham and Women's, Boston, MA 01/96-12/02 Staff Obstetric Anesthesiologist, Massachusetts General, Boston, MA and Health Care Organization Clinical Service Responsibilities: Chief Resident in Anesthesiology, Brigham and Women's 1995 Chief Resident, Division of Obstetric Anesthesiology, Brigham and Women's Major Administrative Responsibilities: Harvard Medical School 3rd Year Medical Student Anesthesiology Course Coordinator, Brigham and Women's Obstetrical Anesthesia Patient education coordinator, Brigham and Women's Director, Anesthesia for Fetal Surgery, Brigham and Women's Clinical Director Department of Anesthesiology, Brigham and Women's Chairperson, Clinical Assessment Committee, Brigham and Women's Vice Chairman for Clinical Affairs, Brigham and Women's Major Committee Assignments: Affiliated Inst Resident and Faculty Education, Brigham and Women's Residency Review, Brigham and Women's Staff Search Committee, Brigham and Women's Medical Student Education, Brigham and Women's BWH Operating Room Management, Brigham and Women's Clinical Practices Committee, Brigham and Women's Brigham and Women's Operating Room Committee, Brigham and Women's Residency Review, Brigham and Women's Faculty Retreat Planning, Brigham and Women's Art Planning and Placement Committee, Brigham and Women's 3

3 Professional Societies: International Anesthesia Research Society, member American Society of Anesthesiologists, member Program Faculty, American Medical Association, member Massachusetts Society of Anesthesia, member Society of Obstetric Anesthesia and Perinatology, Faculty Massachusetts Medical Society, delegate Society of Education in Anesthesia, member American Society of Regional Anesthesia, member American Association of Clinical Directors, member Board of Directors Community Service Related to Professional Work: Pastoral Council Member, St Lawrence Catholic Church Board Member, The Matty Eappen Foundation (MEF) Board Member, Massachussetts Society to Prevent Cruelty to Children (MSPCC) Committee Member, MA Department of Public Health Editorial Boards: Ad-Hoc Reviewer, Anesthesiology Ad-Hoc Reviewer, Anesthesia and Analgesia Ad-Hoc Reviewer, Regional Anesthesia and Pain Management Reviewer, IARS Annual Meeting Awards and Honors: President of Social Fraternity Theta Delta Chi, U. Of Illinois Urbana- Champaign 1986 John Pasta Award for The Outstanding Computer Science Student, U. Of Illinois 1986 Rush-Presbyterian St. Luke's Undergraduate Biochemistry Research Grant, Rush University 1987 Phi Beta Kappa, U. Of Illinois Pritzker Curriculum Committee, U. Of Chicago Pritzker School Of Medicine 1988 NIH Student Summer Research Award, U. Of Chicago Pritzker School Of Medicine 1990 Alpha Omega Alpha, U. Of Chicago Pritzker School Of Medicine 1990 Medical School Admissions Committee Member, U. Of Chicago Pritzker School Of Medicine 1994 Burroughs Wellcome Resident Scholar, Brigham and Women's 1995 Robert D. Dripps Memorial Award for the Outstanding Anesthesiology 4

4 Resident, Brigham and Women's Partners in Excellence, Partners Healthcare/Brigham and Women's 2004 Award in Excellence, Brigham and Women's department of Anesthesiology Local contributions Graduate Medical Courses HMS-3 Anesthesia Core Clerkship Rotation contact time Attending 50 Medical 8 hours/week Students for 40 week(s) Lecturer 50 Medical 16 hours/year Students for 1 year(s) prep time 8 hours/year for 1 year(s) 4 hours/year for 1 year(s) HMS Pharmacology Core Tutor 12 Medical Students contact time 4.5 hours/week for 5 week(s) prep time 3 hours/week for 5 week(s) 1998 Four Directions Summer Research Program Attending 6 Other Students contact time 8 hours/week for 6 week(s) prep time none reported Annual Meetings Parallel Processing--block teams and regional anesthesia, Council of Teaching s (COTH) CA-1 Orientation Series Airway Evaluation, Brigham and Women's Airway Management, Brigham and Women's Airway Evaluation, Brigham and Women's Professionalism lecture, Brigham and Women's Cardiac Lecture Series Conflict Resolution: A suggested approach, Brigham and Women's 5

5 Clinical Conference Coagulopathy, Brigham and Women's Acute Pain Management for surgeons, Brigham and Women's Ethics in OB Anesthesia, Brigham and Women's Conference Annual Pain Management Conference Women and Newborn Health Course Faculty and Lecturer What's New in Obstetric Anesthesia, Women and Newborn Health Conference, Norwood, MA Grand Rounds 2002 Epidural Analgesia for Postoperative Pain Management, Brigham and Women's Airway Evaluation and Management, Brigham and Women's Turnover Time and Operating Room Efficiency, Brigham and Women's Pharmacy quardrails and implementation in the operating room for anesthesiologists, Brigham and Women's Turnover Time and Operating Room Efficiency, University of Massachusetts Memorial Invited Lecturer Epidural Anesthesia in Labor - Facts and Myths, Partners for Labor, Worcester, MA Obstetrical physiology and anesthesiology, Northeastern University Pharmacology Why choose academic Anesthesiology? MGH resident lecture series Quality measurement in ambulatory anesthesiology, SPAQI Annual meeting. Miami, FL. Lecture Epidural Anesthesia in Labor - Facts and Myths 6

6 Lecturer Temperature Modulation for General Anesthesia, Maine Medical Center 1999 How Does the Spinal Cord Contribute to Mechanisms of General Anesthesia?, Beth Israel Deaconess Medical Center (West) 2000 What can Matthew Eappen Teach us?, MENA/MALED Conference for Emergency Room Physicians, Marlborough, MA Solving the Puzzle of Pain Management, Annual Pain Management Conference Moderator Obstetrical Section Lecture, Society of Obstetric Anesthesiology & Perinatology (SOAP) New Resident Orientation Airway Evaluation, Brigham and Women's Airway Evaluation and Management, Brigham and Women's New Resident's Orientation Airway Evaluation & Management, Brigham and Women's Postoperative Pain Service, Brigham and Women's Postopertative Pain: Epidural vs. Parenteral Analgesics, Brigham and Women's Airway evaluation & Management, Brigham and Women's Postoperative Pain Service, Brigham and Women's Postoperative Pain: Epidural vs. Parenteral Analgesics, Brigham and Women's OB Anesthesia Local Anesthetics, Brigham and Women's OB Anesthesia Conference Local Anesthetics, Brigham and Women's Local Anesthetics, Brigham and Women's OB CPR Airway Management, Brigham and Women's Emergency Airway Management, Brigham and Women's 7

7 Obstetric Anesthesia Conference Local Anesthetics, Brigham and Women's Pain Core Curriculum Epidural Opioids, Brigham and Women's Post-Operative Pain: non-pharmacologic Methods of Post-Operative Pain Control, Brigham and Women's Monitoring Patients on Postoperative Pain Therapy, Brigham and Women's Intra-articular Analgesia and Peripheral Opioid Receptors, Brigham and Women's Parenteral Opioids in Postoperative Pain, Brigham and Women's Pain Core curriculum Postoperative Pain Conference, Brigham and Women's Pain Core Curriculum Postoperative Pain, Brigham and Women's Postoperative Pain, Brigham and Women's PATC Conference Case presentation in the oral board format, Brigham and Women's Mock Oral Boards, Brigham and Women's Mock Oral Boards, Brigham and Women's Seminar O.R. Management, Brigham and Women's The 4th Annual Ellison Pierce Turnaround Time Initiatives, Boston University School of Medicine Workshop Airway Management, Brigham and Women's 8

8 Continuing Medical Education Courses Benjamin G. Covino Regional Anesthesia Update th Annual Harvard Anesthesia Review and Update Course Advisory and Supervisory Responsibilities in Clinical or Laboratory Setting Residents for 50 hrs/year, Advisor and Tutor, Department of Anesthesia residents, Brigham and Women's/Harvard Medical School Residents for 48 hrs/year, BWH Anesthesia Curriculum Committee, Brigham and Women's Residents for 20 hrs/year, Mock Oral Board Examiner, Massachusetts General Nurses for 10 hrs/year, Supervising in Nursing Education Lectures, Postoperative Pain Management, BWH multiple lectures on separate floor's, Fetal Surgery., Brigham and Women's Pregnant Patients and spouses for 20 hrs/year, Coordinator, Parent- Childbirth Education for Obstetric Anesthesia, Brigham and Women's Regional, national, or international contributions Invited Presentations Regional Temperature Modulation for General Anesthesia, Maine Medical Center, Department of Anesthesia[Visiting Professorship] Regional Anesthesia for Orthopedic Surgery, Benjamin G. Covino Regional Anesthesia Update, Boston, MA[Course Faculty and Lecturer] Epidural Anesthesia in Labor - Facts and Myths, Partners for Labor, Worcester, MA[Invited Lecture] Epidural Analgesia for Postoperative Pain Relief, Annual Pain Management Conference: Solving the Puzzle of Pain Management, Norwood, MA[Course Faculty and Lecturer] What's New in Obstetric Anesthesia, Women and Newborn Health Conference, Norwood, MA[Course Faculty and Lecturer] Obstetrical Section Lecture, Society of Obstetric Anesthesiology & Perinatology (SOAP)[Moderator] Dispute Resolution Colloquium Series: Conflict Resolution in the Operating Room, University of Massachusetts, Boston[Invited Lecture] 9

9 2007- Turnover Time: Does it Matter?, South Shore [Visiting Professorship] Conflict Management in Healthcare Organizations, UMass Boston Graduate School Program on Mediation [Invited Lecture] Internet Conference/Lecture on the World Health Organization Surgical Checklist implementation for the Massachusetts Coalition for the Prevention of Medical Errors. Approximately 110 people attended via the web. Professional Leadership Roles related to Teaching National Cleveland Clinic, SPAQI Faculty expert reviewer SPAQI abstract reviewer Bibliography Original Articles 1. Ray DW, Eappen S, Hernandez C, Jackson M, Alger LE, Leff AR, Solway J. Distribution of airway narrowing during hyperpnea-induced bronchoconstriction in guinea pigs. J Appl Physiol. 1990;69(4): Ray DW, Garland A, Hernandez C, Eappen S, Alger L, Solway J. Time course of bronchoconstriction induced by dry gas hyperpnea in guinea pigs. J Appl Physiol. 1991;70(2): Collard CD, Eappen S, Lynch EP, Concepcion M. Continuous spinal anesthesia with invasive hemodynamic monitoring for surgical repair of the hip in two patients with severe aortic stenosis. Anesth Analg. 1995;81(1): Eappen S, Corn SB. The anesthesia machine valve tester: a new device and method for evaluating the competence of unidirectional anesthetic valves. J Clin Monit. 1996;12(4): Segal S, Beach M, Eappen S. A multivariate model to predict the distance from the skin to the epidural space in an obstetric population. Reg Anesth. 1996;21(5): Segal S, Eappen S, Datta S. Superiority of multi-orifice over single-orifice epidural catheters for labor analgesia and cesarean delivery. J Clin Anesth. 1997;9(2): Eappen S, Kissin I. Effect of subarachnoid bupivacaine block on anesthetic requirements for thiopental in rats. Anesthesiology. 1998;88(4): Eappen S, Blinn A, Segal S. Incidence of epidural catheter replacement in parturients: a retrospective chart review. Int J Obstet Anesth. 1998;7(4): Burton AW, Eappen S. Regional anesthesia techniques for pain control in the intensive care unit. Crit Care Clin. 1999;15(1):77-88, vi. 10. Eappen S, Segal S. In reply. Int J Obstet Anesth. 1999;8(4): Tsen LC, Natale M, Datta S, Eappen S. Can estrogen influence the response to noxious stimuli? J Clin Anesth. 2001;13(2):

10 12. Eappen S, Robbins D. Nonpharmacological means of pain relief for labor and delivery. Int Anesthesiol Clin. 2002;40(4): Srinivasa V, Eappen S, Schlossmacher MG, Gerner P. Seizures after epidural blood patch. Reg Anesth Pain Med. 2003;28(1):71; author reply Loughrey JP, Eappen S, Tsen LC. Spinal anesthesia for cesarean delivery shortly after an epidural blood patch. Anesth Analg. 2003;96(2): Srinivasa V, Gerner P, Eappen S. Mutism as a complication of total intravenous anesthesia by propofol. Anesth Analg. 2003;97(1): Eappen S, Flanagan H, Bhattacharyya N. Introduction of Anesthesia Resident Trainees to the Operating Room Does Not Lead to Changes in Anesthesia-controlled Times for Efficiency Measures. Anesthesiology. 2004;101(5): Fridrich P, Eappen S, Jaeger W, Schernhammer E, Zizza AM, Wang GK, Gerner P. Phase Ia and Ib study of amitriptyline for ulnar nerve block in humans: side effects and efficacy. Anesthesiology. 2004;100(6): Gerner P, Srinivasa V, Zizza AM, Zhuang ZY, Luo S, Zurakowski D, Eappen S, Wang G. Doxepin by topical application and intrathecal route in rats. Anesth Analg. 2006;102(1): O'Shea A, Eappen S. Amniotic fluid embolism. Int Anesthesiol Clin. 2007;45(1): Eappen S, Flanagan H, Lithman R, Bhattacharyya N. The addition of a regional block team to the orthopedic operating rooms does not improve anesthesiacontrolled times and turnover time in the setting of long turnover times. J Clin Anesth. 2007;19(2): Reviews/Chapters/Editorials 1. Eappen S and Datta S. Pharmacology of local anesthetics. Seminars in Anesthesia. 1998;1(17): Eappen S. Pharmacology of local anesthetics in the epidural and subarachnoid space. In: Geburthilfiche Anaesthesie und Intensivemedizin. Frolich MA, ed. NY, NY: Springer Verlag;2000. p Clinical Communications 1. Eappen S, Segal S. In reply. Int J Obstet Anesth. 1999;8(4): Srinivasa V, Gerner P, Eappen S. Mutism as a complication of total intravenous anesthesia by propofol. Anesth Analg. 2003;97(1): Srinivasa V, Eappen S, Schlossmacher MG, Gerner P. Seizures after epidural blood patch. Reg Anesth Pain Med. 2003;28(1): Hepner David, Eappen Sunil. Anesthesia for Anesthesia for Cesarean Delivery. In Chestnut DH, Polley LS, Tsen LC, Wong C (eds). St. Louis, Mosby. Obstetric Anesthesia Principles and Practice.4 th Ed

11 Educational Materials 1. Eappen S. and Camann W. Analgesia for labor and delivery. Brigham and Women's, Parents brochure Abstracts 1. Ray DW, Doerschuk CM, Jackson M, Hernandez C, Eappen S, Leff AR, Solway J. Bronchial vascular hyperpermeability accompanies hyperpnea-induced bronchoconstriction in guinea pigs. Physiologist. 1988;31(4):A Ray DW, Alger L, Hernandez C, Eappen S, Leff AR, Solway J. Local mucosal cooling/drying causes local bronchovascular hyperpermeability. Am Rev Respir Dis. 1989;139(4):A Ray DW, Eappen S, Hernandez C, Jackson M, Leff AR, Solway J. Distribution of airway narrowing during hyperpnea-induced bronchoconstriction in guinea pigs. Am Rev Respir Dis. 1989;139(4):A Solway J, Hernandez C, Tutins C, Munoz N, Leff AR, Stimler-Gerard N, Eappen S, Alger L, Ray DW. Secretory cell mediator release during hyperpnea-induced bronchoconstriction in guinea pigs. Am Rev Respir Dis. 1989;139(4):A Ray DW, Hernandez C, Jackson M, Eappen S, Leff AR, Solway J. Thermal recovery elicits bronchoconstriction after dry gas hyperpnea in guinea pigs. Am Rev Respir Dis. 1989;139(4):A Eappen S, Segal S, Blinn A, Datta S. Replacement rate and etiologic factors associated with inadequate block during epidural analgesia in parturients. Reg Anesth. 1995;20(2S): Segal S, Eappen S, Datta S. Comparison of single-orifice and multi-orifice epidural catheters for labor analgesia and cesarean delivery. Reg Anesth. 1995;20(2S): Eappen S and Kissin I. Intrathecal bupivacaine decreases general anesthetic requirements for thiopental in rats. Anesthesiology. 1996;85(3A):A Natale M, Tsen L, Eappen S, Datta S. In-Vitro Fertilization: Does Pain Response Correlate with Estrogen Level? Society of Obstetric Anesthesia and Perinatology Abstracts. 1998;1(1): Sarin P., Urman R., Philip B., Philip J., Eappen S. Do Specialized Ambulatory Anesthesia Teams Contribute to Better Patient Outcomes? Anesthesiology. 2007;107:A Urman R., Sarin P., Philip B., Flanagan H., Eappen S. Do Specialized Ambulatory Anesthesia Teams: do They Affect Operating Room Efficiency? Anesthesiology. 2007;107:A Eappen S, Sarin P. Improved Model for Predicting PONV in Day Surgery Patients Using Physician-Modifiable Risk Factors. ASA poster session, ASA annual meeting Pankaj Sarin, M.D., Richard D. Urman, M.D., Beverly K. Philip, M.D., Sunil Eappen, M.D., Lucila Ohno-Machado, M.D., Ph.D. Improved Model for Predicting 12

12 PONV in Day Surgery Patients Using Physician-Modifiable Risk Factors. American Society of Anesthesiologists Annual Meeting Program Eappen S, Urman R. Presence of Anesthesia Resident Trainees in Day Surgery Unit has Mixed Effect on OR Efficiency. ASA poster session, ASA annual meeting Richard D. Urman, M.D., Pankaj Sarin, M.D., Beverly K. Philip, M,D., Sunil Eappen, M.D. Presence of Anesthesia Resident Trainees in Day Surgery Unit Has Mixed Effects on OR Efficiency. American Society of Anesthesiologists Annual Meeting Program Narrative On October 1, 2009 I became Chairman of the Department of Anesthesiology and the medical director of the operating rooms at the Massachusetts Eye and Ear Infirmary in Boston, Massachusetts. The MEEI has 17 operating rooms and performs approximately 17, 000 operative procedures yearly including nearly 4500 pediatric procedures. Prior to this I have worked as a staff anesthesiologist in a variety of capacities at the Brigham and Women s. I started my career by spending 3 years in basic science research in Igor Kissin s laboratory. I have also spent time conducting clinical research, devoting my research interests to that of operational management of operating room resources. I am interested in the issues that slow down movement of patients through operating rooms as well as the use of technology in the operating room to improve patient safety. I am specifically interested in how the training programs (both surgical and anesthesia) influence both safety and efficiency in the operating room. We have recently published manuscripts regarding the influence of the introduction of anesthesia residents to operating room efficiency, and evaluating the benefits of the addition of a "block team" to operating room efficiency, as well as the effect of increased training on decreasing the common side effects of anesthetics in the operating room. I have recently submitted 3 manuscripts in conjunction with others at the Brigham where I am the senior/last author. I hope to be concurrently working on one or two projects while developing the manuscript for another one while I start at the MEEI. The focus of my teaching activities has been in the areas of Obstetrical Anesthesia and Operating Room Management. I routinely worked with both medical students and residents in these areas. I gave weekly/monthly formal lectures on the labor and delivery floor to the anesthesia residents and the nurses. I organized, initiated and ran an OR management educational block as a part of the resident core curriculum educational series. This was a very popular elective for the senior residents and allowed nearly 30 residents to gain additional education in operating room management over the last 5 years. I have also worked as the advisor of 2 Harvard School of Public Health Masters Degree Students to complete their project in OR management. After working part-time (3 days/week) in order to help care for my children for 5 years, I returned full-time in September, I assumed the responsibility as Clinical Director for the Department of Anesthesiology, Perioperative and Pain Medicine, which gave me the administrative responsibilities for the delivery of clinical care for the entire department. In the prior five years, I had been working providing anesthesia in three 13

13 separate, but related clinical areas. I worked in the operating room providing anesthesia for orthopedic procedures, worked in the hospital managing postoperative pain patients, and on the labor and delivery floor providing labor analgesia and anesthesia for cesarean deliveries. I utilized my knowledge of the varied different areas that we deliver anesthesia as well as the many different staff all over the hospital to better organize and relate to the needs of the Brigham and Women s, at large, rather than just the operating room. During my tenure as clinical director, we greatly expanded and organized the delivery of anesthesia care outside of the operating room. These included anesthesia services in endoscopy, radiation oncology, MRI, CT, Interventional Radiology, Family Practice Clinic, and the EP/Cath Lab. This involved developing a reimbursement system that was unique for the department and hospital, interacting with many, many physicians, nurses and administrators throughout the hospital, as well as developing novel safety initiatives distinctive for this type of anesthesia care. The Brigham and Women s has one of the most extensive and developed Out-of-the- OR Anesthesiology services in the country. In 2005, I became the Vice Chairman of Clinical Affairs in the Department of Anesthesiology, Perioperative and Pain Medicine, taking full responsibility for overseeing all of the clinical areas of the Department. That included overseeing the hiring, management and scheduling of over 120 staff and 120 trainees in areas spanning the MOR, Pain Service, ICU and OB Anesthesia Service. Brigham and Women's has one of the largest academic anesthesia departments in the country. While working as the clinical director and the Vice Chairman for Clinical Affairs, I split my clinical time between the labor and delivery floor and a variety of different clinical areas in the main operating room. I spent approximately 50% of time providing direct patient care and 50% of my time with (nonclinical) administrative work. Although it was difficult to capture what I did on a daily basis, my goal had been to be the point person for all things clinical for the Department and the hospital. This involved fielding questions/concerns from anyone outside the Department essentially about any clinical issue and then delivering an answer. I have listed below the various committees or groups that I worked on/with regularly. PIMS (Perioperative Information Management System) Business Sponsor. Lead the group involved with the development and implementation of an electronic data record for the pre, intra and postoperative documentation for the nurses and anesthesiologists. Perioperative Governance Council Anesthesiology Representative. This is the decision making authority for the operating room. Also was an active member of the turnover time and patient flow subcommittees. OR Committee and OR management committee --Anesthesiology Member of the dealing with the day-to-day concerns of the perioperative area Pharmacy Liason for the anesthesiology department. This largely involved interacting the head of the BWH pharmacy and other pharmacists around medication policies, epidural pumps, omnicel introduction, Joint Commission requirements, medication labeling, etc. We rolled out a number of new initiatives during my tenure including the procurement of new epidural pumps, initiation of 14

14 omnicel drug dispensing in each operating room, and the introduction of the use of a number of new drugs. Anesthesiology Technicians: lead the reorganization of the responsibilities of the anesthesiology technicians in the assisting of anesthesiologists for the delivery of care. This included clarifying expectations, stocking of anesthesia carts, assisting anesthesiologists working outside of the OR, increasing the shifts to include 24/7 coverage, increasing educational expectations. Anesthesia Clinical Scheduling and support services: Oversaw the daily distribution of clinical anesthesiology staff throughout the hospital. Responsible for granting vacation and meeting time, leaves of absences, tracking of appropriate payments for incentive calls, and resolving disputes related to payments, vacation time, call requests, all clinical and nonclinical time schedules and distribution. Determined clinical needs for following years and made recommendations regarding staff needed to hire based on attrition and increasing clinical need. Supervised 4 administrative staff for this role. Initiated and developed computerized scheduling transactions to create transparency for the department. All benefit time and daily operating room scheduling was previously done on paper. Joint Commission Liaison: Meeting with hospital leadership to ensure departmental compliance with requirements. Meet regularly with Patient safety committee. Examples included blood administration recording, medication labeling, antibiotic administration compliance, preoperative verification, etc... WHO safe surgery checklist; Led rollout with nurse and surgical leader throughout our operating room from pilot to implementation to all operating rooms. Anesthesiology Clinical Practice Committee member: determined clinical practices of the department as well as determined capital budget purchase requests to the hospital. Quality Assurance. Oversaw all QA initiatives with QA director. This included follow up on all mortality and morbidities involving the department, working with risk management, representatives at Root Cause Analysis involving department members, and giving input to regular M&M conferences. Anesthesiology Faculty Board Member: Appointed member of departmental leadership group who made administrative recommendations to the Chairman. This included issues surrounding nonclinical time, salary increases, recruitment and retention issues, insurance concerns, incentive plans, etc... New Staff orientation/evaluation program; Initiated and maintained new staff orientation and evaluation program involving developing written job descriptions for staff for the first time. Developed and distributed evaluation forms for all new staff followed with direct feedback to all new staff over last 3 years. OR management Clinical Conference Block: Organized educational program focused on business component of anesthesia care as part of larger educational program for the resident/staff education series. Robotics Committee: anesthesiology representative to BWH surgical robotics program 15

15 CCE (Center of Clinical Excellence) Anesthesiology representative. Worked with statisticians, computer programmers, administrators in CCE to receive anesthesiologist-specific statistics regarding turnover times, first-case ontime starts, induction times, etc...in order to report and improve efficiency measures as well as service specific (cardiac vs ambulatory) statistics. I felt there was a large intangible component to the job which largely involved listening and being the individual who would "okay" decisions for Departmental members. Staff leadership needed to be able to say that they had "discussed" a decision with someone. I for the most part, had been that person and acted as the liaison between the clinicians and the chairman of the department. Based on my involvement with the various groups listed above, I believe I greatly helped transition our very good department to one that is significantly larger and outstanding. 16